| NPI | 1942937511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE WILLIAMS Lcsw 352-695-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |