| NPI | 1174983944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER SHEPHERD President/Director 407-831-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC-2793) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |