| NPI | 1760239370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVADNIE WALTERS Owner 407-844-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |