| NPI | 1639317670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK ADAMS Program Director 407-470-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |