| NPI | 1306518204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON G CORCORAN Owner, Operator 352-871-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |