NPI | 1407502206 |
---|---|
Entity Type | Organization |
Authorized Contact | MELITA COGBURN Mental Health Therapist Owner 407-900-3518 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-03-01 |
Last Update Date | 2022-03-01 |