| NPI | 1366309585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYANA FERNANDEZ PACHECO GORRIN Owner 813-599-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-19 |