| NPI | 1013501782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA RIDDLE VP Operations 352-502-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2026-08-17 |