| NPI | 1467169573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FERNANDEZ President 407-205-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-11-03 |