| NPI | 1245355239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA B FULLER President 407-894-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW0000857) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 0748AD363501) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-12-29 |