| NPI | 1891061917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN H WEST President/Owner 352-732-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL P93000006734) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |