| NPI | 1669825519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WHITFIELD Owner/Lmhc 407-800-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL MH12672) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-23 |