| NPI | 1083413017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY PHUONG CRONE Chief Executive Officer 941-702-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-04-11 |