| NPI | 1376008375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMITA AUTRECIA HARTZ Practitioner/Manager/Owner 352-727-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |