| NPI | 1326699414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CUPO Counselor 941-228-8084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |