| NPI | 1902939820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI KELLEY Owner Counselor 352-536-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7472) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |