| NPI | 1023337623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL NADEEM Owner 941-313-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ME79513) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2012-09-25 |