| NPI | 1093103277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CHAISSON Executive Director 407-720-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2016-10-26 |