| NPI | 1053390476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOTTIE M. SUSKIEWICH President 407-302-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH6541) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-22 |