| NPI | 1730704933 |
|---|---|
| Other Name | DDO |
| Entity Type | Organization |
| Authorized Contact | DONOVAN D. DAVIS President 407-448-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-10-29 |