| NPI | 1215566526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CENNINGTON Authorized Official 352-549-0932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-03-26 |