NPI | 1245215003 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD GEORGE WINTERS President/Owner 407-960-6808 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2798, MT1711, MH75) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2019-10-11 |