NPI | 1861851354 |
---|---|
Other Name | N/A |
Entity Type | Organization |
Authorized Contact | NELSIE ENEIDA WALKER President 941-812-3977 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC #0003538) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP #1489) |
Enumeration Date | 2016-02-12 |
Last Update Date | 2016-02-12 |