| NPI | 1356798995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY ARLENE MAY Mental Health Counselor 239-200-9685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |