| NPI | 1992321640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE HUEBNER CEO 407-594-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 133V00000X Dietitian, Registered | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2024-02-16 |