| NPI | 1679926307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA CHENAULT Owner 941-735-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13526) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2024-08-20 |