| NPI | 1982316303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO ALVES Owner 727-314-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2026-02-27 |