| NPI | 1598754749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY EDWARD SHYERS Chairman 352-383-2194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 8889) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH 1054) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH 7151) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |