| NPI | 1275397515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY CAMPBELL Credentialing Manager 239-257-7290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |