| NPI | 1558424267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY THEODORA CARROLL President 941-412-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0002776) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |