| NPI | 1386004745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL STALLWORTH President 941-822-8174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH12905) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2022-07-21 |