| NPI | 1427412873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANNA RUTLEDGE Owner 352-379-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3166) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |