| NPI | 1578108668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA JOHNSON Owner 407-808-5773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2022-11-25 |