| NPI | 1962243816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHONNA PECOLIA STRAWDER Owner 352-931-7383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |