| NPI | 1609326503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE WARD GIBSON CEO/President 407-657-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH1561) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |