| 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 |