| NPI | 1881148393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MARIE HOUGHTON Office Manager 352-633-0614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-007797-2015) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |