| NPI | 1396216891 |
|---|---|
| Former Legal Business Name | LAKE NONA WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | ABRAHAM SOTO Director Behavioral Health Services 407-963-5940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-12-09 |
| Last Update Date | 2018-12-09 |