NPI | 1932892684 |
---|---|
Former Legal Business Name | EDDIE ST-VIL COUNSELING & CONSULTING |
Entity Type | Organization |
Authorized Contact | EDDIE ST-VIL Founder & CEO 239-777-4099 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-05-30 |
Last Update Date | 2023-05-30 |