| NPI | 1043583867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RYAN Clinical Director 407-462-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh7827) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |