| NPI | 1356526396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT PATRICK MRUZ President 352-351-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY7508) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |