| NPI | 1114216058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEA E JOHNSON Owner, Psychotherapist 407-222-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW7719) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |