| NPI | 1184015596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE JOSEPH Executive Director 407-656-6938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FM 5694) |
| 251E00000X Home Health | |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2015-02-08 |