| NPI | 1033350111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN JOHN BUHAIN Founder / Chief Executive Officer 407-574-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8481) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 4433) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |