| NPI | 1134976061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY CANNON Psychologist/Owner 352-339-6751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-05-01 |