| NPI | 1093171787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MCDONALD KENNARD CEO 941-916-5291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH9262) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |