| NPI | 1700721511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSA TOLIVER Owner 407-878-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |