| NPI | 1053643635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN S. BEERBOWER Clinical Director 407-960-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13519) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1946) |
| 133V00000X Dietitian, Registered (Licence: FL ND0001484) | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2015-09-24 |