| NPI | 1255696803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M GIERHART Licensed Mental Health Counselor 352-378-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |