| NPI | 1790812386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LYNN MICHAELS Co Owner 941-955-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4238) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |