NPI | 1679019525 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA PAGAN Mental Health Therapist 352-339-5848 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 11914) |
Enumeration Date | 2017-01-17 |
Last Update Date | 2017-01-17 |