| NPI | 1225570591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STUART Licensed Mental Health Counselor 407-766-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12346) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH12346) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH12346) | |
| 101YP2500X Counselor, Professional (Licence: FL MH12346) | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |