NPI | 1366915944 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY DOUGLAS LAPHAM Director 941-467-2980 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2019-01-07 |
Last Update Date | 2024-09-11 |