| NPI | 1063122737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE R COLES Owner 352-443-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2024-05-23 |