| NPI | 1306370317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GERON ROGERS President/Executive Director 352-348-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |