| NPI | 1285414623 |
|---|---|
| Former Legal Business Name | ALVIZO-GALLEGOCOUNSELORS, LLC |
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN KECK Owner 407-917-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |