| NPI | 1932643079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE H BACHMAN Licensed Mental Health Counselor 407-421-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 13788) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |