| NPI | 1871640177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN ELIZABETH BAKER Director 239-772-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC0256) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |