| NPI | 1255595799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M MACKEY President 941-751-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8387) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |