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 |