| NPI | 1295164358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBY WEAVER Therapist 352-861-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH11280) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |