| NPI | 1497207997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LUIS SARMIENTO Director 352-512-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 12449) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH 12449) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH 12449) | |
| 101YP1600X Counselor, Pastoral (Licence: FL MH 12449) | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2020-05-29 |