| NPI | 1558365833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HAUSCH Producing Director 352-373-5968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 0301AD068701) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2020-08-22 |