| NPI | 1750795720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN FIORILLO President 941-586-8966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5964) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |