| NPI | 1053702555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCHE M STOKLEY Owner 407-691-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0002466) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |