| NPI | 1235662396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTIONETTE POLLARD Owner 863-651-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 13945) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-08-13 |