NPI | 1730550633 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN HAMBLETON President 407-928-4383 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10208) |
Enumeration Date | 2015-10-18 |
Last Update Date | 2015-10-18 |