| NPI | 1942642632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEE NEBEL President 407-622-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH9281) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH9281) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH9281) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |