| NPI | 1417003310 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | COLETTE BIONDI Mental Health Therapist 352-624-2137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH 7893) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-09-06 |