| NPI | 1366223653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKLYN HANCOCK Owner 407-906-6167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |