| NPI | 1841551926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA FULLER President 407-864-7278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |