| NPI | 1699253666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER M SANTIAGO Owner/Operator 352-397-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14870) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-02-11 |