| NPI | 1811237092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH W. NEILL Manager 407-622-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 1530) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |