| NPI | 1619558673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO F QUIROZ Owner/President 352-686-3188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2023-03-07 |