| NPI | 1598361719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNAMYS MIRALLES CARDET Owner 813-443-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2023-09-14 |