| NPI | 1740673052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA IMELDA FISCHER Mental Health Counselor 407-468-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL #5654) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |