| NPI | 1497037519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMIAN MILLER CFO 941-371-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2022-01-13 |