| NPI | 1952607582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY TRAMMEL Owner 352-650-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL MH3560) |
| Enumeration Date | 2011-01-29 |
| Last Update Date | 2016-10-27 |