| NPI | 1851563035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H HORN Psychotherapist 352-552-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 4685) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2015-10-01 |