| NPI | 1871339929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO DE SANTIS NOYA Owner 239-443-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |