| NPI | 1659646529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RESEALIA M MCKINNEY Mental Health Therapist 407-319-3207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMH 9173) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |