| NPI | 1265749592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINLETE PENNYCOOKE President 407-403-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9440) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |