| NPI | 1518761824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA LORES Owner/Manager 727-272-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-04 |