| NPI | 1417588252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE M TITUS Owner 407-744-8534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2023-03-27 |