| NPI | 1215389978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE THWEATT Owner President 407-587-5978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH-9316) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |