| NPI | 1821496928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA BETH CHAMBLISS-ALEXANDER Owner/Provider 407-435-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI LCSW 3861) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |