| NPI | 1679715676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE P WASHINGTON Director 352-266-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 13001056A) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |