| NPI | 1487140315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SECRAN MANSILLA Owner 407-334-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11968) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 251S00000X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |