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