| NPI | 1528623121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAMARI MAZPULE Co Owner 352-213-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |