| 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 |