| NPI | 1336303676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA S. ROAN President 407-644-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5237) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |