| NPI | 1801662028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE-ANN PATRICE TORRES Licensed Marriage & Family Therapis 239-691-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |