| NPI | 1972144459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE GREEN CEO 407-271-2039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2025-04-28 |