| NPI | 1851902332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUS GUADAGNINO CEO 352-238-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-09-11 |