| NPI | 1275318495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EKENE AJUFO Owner 352-620-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-04-13 |