| NPI | 1033919121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA TRAN Owner 813-597-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2026-01-08 |