| NPI | 1861167736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALIS M RIVERA Owner 407-891-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2024-06-24 |