| NPI | 1689005480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY MEHOLICK Owner 239-560-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11820) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |