| NPI | 1821351040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DAVID KOHN President 239-939-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH1670) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH1670) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |