| NPI | 1144098716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORY RICHARDS President 352-428-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |