| NPI | 1891448783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA NECOLE DESAUSSURE Owner/Lmft 407-961-9863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |