| NPI | 1578821856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CASTNER License Mental Health Counselor 407-975-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH2693) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |