| NPI | 1225610629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER SANTIAGO Owner/CEO 813-857-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2021-04-25 |