| NPI | 1851836597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA A. WHITE Director/Owner 407-462-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007084) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |