| NPI | 1568525574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MAURINE MARTIN Clinical Director 941-755-7830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL #MH3149) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL #MH4135) |
| 101YP1600X Counselor Pastoral | |
| 1041C0700X Social Worker Clinical (Licence: FL #SW8140) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |