| NPI | 1528820057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS KUJIAMINI JIFUNZA Licensed Mental Health Counselor 941-548-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-31 |