| NPI | 1235076977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JOSEPH CAMPBELL Founder 239-699-6732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2026-04-30 |
| Last Update Date | 2026-04-30 |