| NPI | 1871695569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FORD Office Manager 407-339-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 2608) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |