NPI | 1093041154 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA P JACK Mental Health Counselor 407-623-1070 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH8933) |
Enumeration Date | 2009-10-26 |
Last Update Date | 2009-10-26 |