| NPI | 1639048929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J LORIO Owner 352-304-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |