| NPI | 1376608554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN GOLDSTEIN Medical Director 941-487-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL 0003644) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-06-23 |