NPI | 1316481740 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA GHEN Lcsw 352-592-7740 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 5962) |
Enumeration Date | 2016-12-04 |
Last Update Date | 2016-12-04 |