| NPI | 1376715748 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | VOLTAIRE E. NUNEZ President 407-765-4223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 50093) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL 50093) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |