| NPI | 1568267177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ONITA HARRIS Ap RN 352-278-1398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-04-08 |