| NPI | 1093970162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE C BRANNEN Chief Operating Officer 352-224-2200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL PY6591) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |