| NPI | 1417329590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA L ZIMMER Mental Health Counselor 239-671-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3999) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |