| NPI | 1194050047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL NUTTER Manager 941-375-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5058) |
| Enumeration Date | 2009-10-10 |
| Last Update Date | 2010-12-28 |