| NPI | 1275735649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CORONA Clinical Supervisor 352-955-2450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0301AD050101) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2009-03-24 |