| NPI | 1073886495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN G CURRY Licenced Clinical Social Worker 352-351-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW6) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MT6) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |