| NPI | 1538570080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNEY J WILKINSON Director 863-644-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY7550) |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2014-05-17 |