| NPI | 1619299641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN WILLIAMS Owner 352-375-2578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMH 6263) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |