| NPI | 1366066334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELAINE SIMMONS Owner 352-870-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |