| NPI | 1245770221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER STAMBAUGH Owner 863-271-7972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11554) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |