| NPI | 1861883886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DILLICKRAETH Owner 407-443-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9665) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |