| NPI | 1568032647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA THORESEN President 941-745-5111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |