| NPI | 1548747280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A MCNEAL Clinical Social Worker 863-382-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW-904) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |