| NPI | 1356853311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAINA RAINBOW BURLAK President 239-821-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14350) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |