| NPI | 1366016552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAUNIA DANIELLE BROOKS Clinical Social Worker/Therapist 352-286-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-06-22 |