| NPI | 1902280357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA OWENS CHANCE President 352-448-9087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12711) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |