| NPI | 1982220851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE L GRAHAM Licensed Mental Health Counselor 352-345-9267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-20 |