| NPI | 1295072072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERWANDA L BRIGHT Counselor 352-361-0984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMH 10223) |
| Enumeration Date | 2013-01-13 |
| Last Update Date | 2022-07-21 |