| NPI | 1750756045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEEN PULLIZA HAMILTON Owner 407-488-0796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2026-08-28 |