| NPI | 1457727265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY PEACE-PALMER Director 352-870-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10626) |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2016-05-31 |