| NPI | 1669917936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI LYNN ROSSLER President 407-365-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 3167) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |