| NPI | 1811085079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A RUEDA Owner 407-888-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |