NPI | 1053917922 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE JEAN Licensed Clinical Social Worker 352-234-3208 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-12-07 |
Last Update Date | 2020-12-07 |