| NPI | 1396101697 |
|---|---|
| Former Legal Business Name | SUMMIT COUNSELING GROUP |
| Entity Type | Organization |
| Authorized Contact | REBECA CARRASQUILLO Director Of Operations 352-394-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2023-12-21 |