| NPI | 1568815033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI CHINLUND Therapist/Clinical Director 407-625-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW 13348) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |