| NPI | 1700478385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LIVINGSTON President 352-262-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |