| NPI | 1710494265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE FRENCH Therapist 352-281-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12613) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |