| NPI | 1518487164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA WARNER Manager 941-462-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12983) |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2022-07-21 |