| NPI | 1952847345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA V OLIVEIRA MATOS Therapist 407-963-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMH 12426) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |