| NPI | 1528910197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA MARIE OQUENDO CUEVAS Owner 813-495-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-02-13 |
| Last Update Date | 2026-02-21 |