| NPI | 1760804330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA L JABLONSKI Executive Director 407-405-3257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL 10886) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 8037) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |