| NPI | 1861012114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN CHRISTINE VANDERSCHAAF Professional Clinical Counselor 407-435-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-17 |