| NPI | 1881795755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA T SANTIAGO Clinical Director 941-952-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 0004633) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |