| NPI | 1902348519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI LORNE Licensed Mental Health Counselor 407-496-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13478) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH13478) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |