| NPI | 1235537184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT A CARUSO President 352-243-1319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL SW1344) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-12 |