| NPI | 1609596642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANY GARBEY Owner 813-252-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |