| NPI | 1306344502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED GRANT MCDOUGALL Owner 352-318-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5756) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |