| NPI | 1114785227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY OSPINA Administrator 407-952-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 224Z00000X Occupational Therapy Assistant | |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-10-01 |