| NPI | 1205596350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARUCCI GUZMAN Executive Director 407-895-0801 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2023-03-20 |