| NPI | 1609113141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WESLEY ENLISH Clinical Director 407-740-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH2166) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |