| NPI | 1144881699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS R CARRALERO RODRIGUEZ Owner/President 813-551-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2021-08-25 |