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Organization
AIM TARGET PROGRAMS, INC.
Active
Organization
AIM TARGET PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN CLARK LMHC, CAP (CLINICAL DIRECTOR)
(239) 939-3363
Entity
Organization
Contact information
Practice address
3049 CLEVELAND AVE STE 100, FORT MYERS, FL 33901-7049
(239) 939-3363
Mailing address
3049 CLEVELAND AVE STE 100, FORT MYERS, FL 33901-7049
(239) 939-3363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
NULL
Other
Enumeration date
06/30/2021
Last updated
07/03/2023
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