| NPI | 1063754570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SMITH BENSON Owner 941-343-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH9970) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-04-09 |