| NPI | 1275386930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE S KAPUGI Vice President 352-277-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-06-05 |