| NPI | 1356524367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE A. GREEN President 941-951-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY5323) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-02-19 |