| NPI | 1700274537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY A ALBANO Manager 941-914-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH9707) |
| Enumeration Date | 2015-01-01 |
| Last Update Date | 2015-01-01 |