| NPI | 1790269272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATESHA L LANIER-BROWN Owner/Program Director 352-682-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |