NPI | 1740781186 |
---|---|
Entity Type | Organization |
Authorized Contact | NIKOLE DUVALLE Owner, Therapist 352-727-8102 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
Enumeration Date | 2018-02-21 |
Last Update Date | 2018-02-21 |