| NPI | 1578632394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIA E. FUENTES Owner 407-563-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW7078) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-08-13 |