| NPI | 1417685637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELAINE SIMMONS-CLIFTON Owner, Manager 352-870-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |