| NPI | 1942819495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA POLIARD Marriage And Family Therapist 407-487-9167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-12-30 |