| NPI | 1205094125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN TOMER Registered Agent Secretary Treas 941-377-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |