| NPI | 1578142642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA COLLMAN Owner 352-234-4187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-01-13 |