| NPI | 1669625182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARBINDER SINGH GHULLDU Medical Director 407-370-5357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2020-05-28 |