# AIM TARGET PROGRAMS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770153751
- **Authorized official:** DAWN CLARK LMHC, CAP (CLINICAL DIRECTOR)
- **Authorized official phone:** (239) 939-3363

## Contact information

- **Practice address:** 3049 CLEVELAND AVE STE 100, FORT MYERS, FL 33901-7049
- **Practice address phone:** (239) 939-3363
- **Mailing address:** 3049 CLEVELAND AVE STE 100, FORT MYERS, FL 33901-7049
- **Mailing address phone:** (239) 939-3363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 07/03/2023