| NPI | 1801321013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA LYNN BROWN Director 352-672-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH14470) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |