| NPI | 1063920791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON EADIE Licensed Mental Health Counselor 941-479-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9519) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |