| NPI | 1942995782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMARA HERNANDEZ CARRAZANA CEO 813-400-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2025-02-26 |