NPI | 1811532393 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA LEE JONES Revenue Cycle Director 352-597-5075 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-11-08 |
Last Update Date | 2019-11-08 |