| NPI | 1235670910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA J KOGUT Owner/Therapist 407-569-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH11135) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |