| NPI | 1780830810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN D KECK President 407-644-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY4007) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL M3446) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |