NPI | 1902558406 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID GONZALEZ Owner 813-453-6179 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-01-25 |
Last Update Date | 2022-05-06 |