| NPI | 1659645018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANEE ALICEA DAVIS Comp Behavioral Assessor 352-512-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |