| NPI | 1609386077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY HOPKINS Lmhc 863-648-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 14501) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |