| NPI | 1710226634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARRO Attorney 352-284-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL N13000000960) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |