NPI | 1104457977 |
---|---|
Doing Business As | LARA HEALTH AND WELLNESS CENTER, LLC |
Entity Type | Organization |
Authorized Contact | YONAIKA LARA Owner 813-415-2982 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-02-07 |