| NPI | 1558765016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE RANDALL WILLIAMS Owner 352-377-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL me0037298) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |