| NPI | 1811455835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA MILEY Clinical Director, Owner 941-444-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2022-08-15 |