| NPI | 1891089421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LOPEZ President 407-285-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2024-04-11 |