| NPI | 1588137202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN JOSEPH Owner 352-246-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |