| NPI | 1215810387 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KEMEDONTAE BROWN Executive Director 407-474-4864 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 305S00000X Point of Service | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health | 
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-07-28 | 
| Last Update Date | 2025-07-28 |