| NPI | 1891040770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A DELGADO Certified Addiction Professional 407-691-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |