| NPI | 1013073980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE W GIBSON V Pres 407-657-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH1561) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH3101) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |