| NPI | 1932473451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C. VANGELDER Owner/President 352-742-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH9157) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MH9157) |
| 1041C0700X Social Worker Clinical (Licence: FL SW10470) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MH9157) | |
| 106H00000X Marriage & Family Therapist (Licence: FL SW10470) | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |