| NPI | 1154285096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON COBIAN Licensed Mental Health Counselor 239-628-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2025-12-18 |