| NPI | 1568576163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELA GARCIA LEYVA President 813-246-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2013-08-21 |