NPI | 1922020817 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID GREG NUTE President 407-797-2164 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6523) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL CPY0221010400nostate) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2020-08-22 |