| 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 |