NPI | 1992117808 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNDIE A FORD PURDY Clinician/Sole Proprietor 352-341-0435 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5401) |
Enumeration Date | 2014-05-27 |
Last Update Date | 2014-05-28 |