| NPI | 1023546710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RICHELSON Chief Medical Officer 941-444-1730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-05-03 |