| NPI | 1881562791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA ALYSSA AVANT-ORTIZ Chief Executive Officer 407-449-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |