| NPI | 1154514354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA D DUVALL Owner 352-253-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL imh5873) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |