| NPI | 1316873169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J DALE CFO 352-679-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-06-19 |
| Last Update Date | 2026-06-19 |