| NPI | 1225809197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA JOHNSON Licensed Psychologist 352-425-4280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-04-02 |