| NPI | 1225209802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY EDWARD EVANS Counselor 352-870-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh 6848) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH6848) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |