| NPI | 1578866562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA GREINER President/Director 352-364-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW9047) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2020-03-18 |