| NPI | 1740975895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SPADAFORA CEO 352-942-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2024-09-09 |