| NPI | 1912148602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONEL E. MESA C.E.O. 863-386-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |