| NPI | 1841476215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY WAYNE SHERROD Owner/Therapist 352-243-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 0535AD7192) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |