| NPI | 1801176011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA THERESE GROSSER Owner 863-293-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5559) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |