| NPI | 1699518621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA SIKORSKI Therapist 941-539-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |