| NPI | 1497225452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYELIN SANTOS Owner 813-610-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2021-06-23 |