| NPI | 1366986952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN PEARLMAN Mental Health Counselor 407-625-8786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH12430) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |