| NPI | 1962867242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET GHENT Therapist 863-614-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH13304) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |