| NPI | 1679091904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY STAPP MATTOS CEO 407-821-3098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7519) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2024-04-30 |