| NPI | 1982158788 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANGIE S MABE President 407-285-6284  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10067)  | 
| Enumeration Date | 2016-08-09 | 
| Last Update Date | 2016-08-09 |