| NPI | 1851822308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICA M RIVERA Lmhc 941-479-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH13846) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |