| NPI | 1285341297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA LINGARD Licensed Therapist 352-284-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-05-01 |