| NPI | 1477171965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA IRENE BOBO CEO/Clinical Psychologist 407-276-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2021-03-29 |