| NPI | 1447083118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIKESHA BLAKE CFO 407-287-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2025-02-26 |