| NPI | 1750640348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JAMES STRIEGEL Mental Health Counselor 352-597-5497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL MH 9374) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: FL MH 9374) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: FL MH 9374) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |