| NPI | 1336326222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAY DOUGHERTY Administrative Assistant 407-267-3261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL ME75680) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |