| NPI | 1083727101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA D FREEMAN Vice President 407-463-7564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 0748AD391101) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |