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, Psych/Mental Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-07-11 |
Last Update Date | 2020-07-11 |