| NPI | 1457733453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE GRAHAM CAMPBELL CEO 407-931-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 11783) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |