| NPI | 1588181200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUCHI OJINNAKA-TAYLOR Owner 352-363-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH13273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13273) |
| 101YP2500X Counselor, Professional (Licence: FL MH13273) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |