| NPI | 1871131920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH L KRZEWSKI CEO 941-914-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2021-01-26 |