| NPI | 1255608550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA VERONICA OWENS Director 407-252-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7771) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |