| NPI | 1134433352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J. BRADLEY Executive Director 352-334-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL Contract with APD) |
| Additional Taxonomies | 251C00000X (Licence: FL Contract with APD) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |