| NPI | 1497415863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA CROUCH Owner 407-963-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2025-06-02 |