| NPI | 1841629177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTOLOME ENRIQUE COLOM Manager 407-782-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11368) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH11368) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH11368) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MH11368) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |