| NPI | 1154446110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST W REILLY Director 407-843-4968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5067) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW5041) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |