| NPI | 1568874162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SELOVER Mental Health Counselor 407-617-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH8871) |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2014-05-30 |