| NPI | 1306993654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BAKER President 941-926-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4720) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 5729) |
| 225100000X Physical Therapist (Licence: FL PT13914) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |