| NPI | 1629781919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CAVALLARO Owner/Provider 407-900-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-05-25 |