| NPI | 1396933446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN GUSTAFSON Owner/Therapist 352-428-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL LCSW 6283) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2008-08-12 |