| NPI | 1508409319 |
|---|---|
| Doing Business As | TBAC GROUP |
| Entity Type | Organization |
| Authorized Contact | CHARISSE DIAZ CEO 813-601-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2025-08-20 |