| NPI | 1962114959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA POMPA Owner 239-687-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2024-03-20 |