| NPI | 1508308164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARONDA WILLIAMS ENGRAM Registered Marriage And Family Ther 407-949-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL 106H00000X) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |