| NPI | 1700252509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARKER LEE MOTT Owner/President/Psychologist 407-347-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY8941) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY8941) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL PY8941) | |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-09-28 |