| NPI | 1851312946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA GAIL HERBST Director 352-343-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 1335AD6368) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |