| NPI | 1346528478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER TUCKER Community Mental Health Counselor 352-672-0622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |