| NPI | 1134367980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELIZABETH BROGAN President 352-255-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY7782) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |