| NPI | 1053185009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA RUBIN Owner 813-451-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-12-01 |