| NPI | 1538923172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY SHELTON Pastor 407-683-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-28 |