| NPI | 1861515801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E. WOOD President 239-470-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-01-07 |