| NPI | 1811364193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M KELLY CEO/Counselor 407-896-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 12491) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |