| NPI | 1700461001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALYN THOMAS Clinical Director 407-323-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |