| NPI | 1275166563 |
|---|---|
| Doing Business As | MASAGANA |
| Entity Type | Organization |
| Authorized Contact | NEVEH C MAHILUM Manager 813-526-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |