| NPI | 1033817457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI AUD ELLINGSTAD CEO 941-529-2422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-07-18 |