| NPI | 1841628120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA LOZADA-MURRAY Licensed Psychologist 813-679-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY8820) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |