| NPI | 1962803833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEE ELDER Licensed Mental Health Counselor 407-252-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH12737) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |