| NPI | 1114573722 |
|---|---|
| Doing Business As | LPC-M |
| Entity Type | Organization |
| Authorized Contact | TONY SUTTON CEO 407-341-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2019-08-11 |