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 |