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 |