| NPI | 1891142493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA T OATS CEO 352-278-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |