| NPI | 1003954611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAORI FRIESS President 239-566-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY0006280) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2007-11-27 |