| NPI | 1114650728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON LAMBERT MAJOR President 239-226-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |