| NPI | 1497630784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ACEVEDO Licensed Mental Health Counselor 863-225-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |