| NPI | 1518582063 |
|---|---|
| Former Legal Business Name | WISDOM TRADITIONS COUNSELING SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A. HAMILTON Financial Controller 941-697-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |