NPI | 1336685973 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH L ATKINSON Counselor/ Manager 352-575-8344 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9295) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2959) |
Enumeration Date | 2017-01-06 |
Last Update Date | 2017-01-06 |