| NPI | 1962117101 |
|---|---|
| Former Legal Business Name | KARMIVIS SANTIAGO, LMHC |
| Entity Type | Organization |
| Authorized Contact | KARMIVIS SANTIAGO CEO/Provider 727-480-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-04-26 |