| NPI | 1235913278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY K MCCORMICK CEO 941-799-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |