| NPI | 1821353434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN FITZPATRICK Owner 407-492-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8556) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |