NPI | 1942048459 |
---|---|
Entity Type | Organization |
Authorized Contact | MEAGAN SANTIAGO Manager 813-563-1040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-07-18 |
Last Update Date | 2024-07-18 |