NPI | 1588102347 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN S MANGAN Owner 239-777-2454 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13836) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2017-02-01 |