| NPI | 1194596890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LYNN HAMBLET Licensed Clinical Social Worker 352-354-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |