| NPI | 1952793101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL LUGO President 407-429-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2021-08-17 |