| NPI | 1689036055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MORALES Mental Health Counselor 407-923-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH8607) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |