| NPI | 1568963395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CLAYTON ROWELL Owner 352-233-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-09-18 |