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 |