| NPI | 1811222607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK GALLAGHER Owner 407-579-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh4718) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2011-10-03 |