| NPI | 1386199099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL NIEVES Manager 407-697-3207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |