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 |