| NPI | 1902161532 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CAROLINA E HOFFMAN Adult Outpatient Sa Counselor 352-236-8327 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL h155105827870) | 
| Enumeration Date | 2012-07-10 | 
| Last Update Date | 2012-07-10 |