| NPI | 1487127403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON BOLTON Owner And CEO 352-284-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |