| NPI | 1669847208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEAN WEAVER Co Owner/Psychotherapist 352-861-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 002631) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |