NPI | 1366969743 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER TUCKER Owner/Therapist 352-672-0622 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MT3152) |
Enumeration Date | 2017-08-25 |
Last Update Date | 2017-08-25 |