| NPI | 1023313384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A DRAZEN Managing Director 407-539-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3055) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |