| NPI | 1689939506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SAWICKI-LAKE Counselor 407-699-5824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8502) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |