| NPI | 1972809937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA R RUDNY President 352-796-6557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH1988) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |