| NPI | 1225673049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL BRAVO Owner 407-340-6891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2024-08-20 |