| NPI | 1407020928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SHANNON DAMRON Director 352-379-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6211) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH6211) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH6211) | |
| 101YP2500X Counselor, Professional (Licence: FL MH6211) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |