| NPI | 1093310674 |
|---|---|
| Former Legal Business Name | RIVERSIDE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SCOTT FREEMAN Administrator 941-565-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-02-04 |