| NPI | 1295756385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA OZOEMEZINEM ADU Business Manager 352-378-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL ME84024) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2018-08-06 |