| NPI | 1851046239 |
|---|---|
| Other Name | CHARLOTTE OSBORNE |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE OSBORNE Owner 352-638-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |