NPI | 1780988089 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERI BRANDIES Chief Executive Officer 352-622-4432 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 100003887) |
Enumeration Date | 2010-12-29 |
Last Update Date | 2010-12-29 |