| NPI | 1346195161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ROGERS Rcm 941-391-7261 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2026-02-27 |
| Last Update Date | 2026-02-27 |