| NPI | 1295213692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH SPANDAU-STERN Mh Counselor 407-461-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2091) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |