| NPI | 1750675401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MARIE BOES Licensed Mental Health Counselor 407-917-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-05-29 |
| Last Update Date | 2020-04-09 |