| NPI | 1710235346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA HARDIN Director 941-301-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL pmh1056) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |