| NPI | 1942580949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CATHERINE AMES Managing Member 352-368-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1-03-1403) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |