| NPI | 1942364229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MARGARET GODREAU President 941-302-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0003158) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2010-03-24 |