| NPI | 1083305213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE LAVALLAIS-HOWARD Licensed Clinical Social Worker 407-279-1396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |