| NPI | 1821469396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANICIA CAIN Owner 407-575-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH15376) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2021-04-05 |