| NPI | 1609494079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SPADAFORA Manager 352-942-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2020-07-11 |