| NPI | 1861602005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI DIANE BARNTHOUSE Director 941-473-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL na) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL na) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: FL na) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |