| NPI | 1114396942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIS SOTO Therapist 407-579-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMT1625) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |