| NPI | 1780484337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALISA GREEN CEO 239-878-6998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |