NPI | 1366116857 |
---|---|
Entity Type | Organization |
Authorized Contact | EDUARDO MARTINEZ Owner 813-900-3356 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-08-06 |
Last Update Date | 2025-09-05 |