| NPI | 1043521073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD L TODOROFF Owner 352-597-5497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0003030) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |