| NPI | 1063713493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J FAIGHT-TARRETE Clinician 239-784-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9238) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |