| NPI | 1083056956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY MITCHELL Owner 407-923-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL Sw9099) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL Mh11199) |
| Enumeration Date | 2013-07-21 |
| Last Update Date | 2013-07-21 |