NPI | 1346360401 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLEEN M LINDEN President Director 239-454-3655 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3014) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1455) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |