| NPI | 1386154474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLI ODUM Clinical Director 407-801-9628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15156) |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2019-01-14 |