| NPI | 1396184941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SOLODOKO CEO 941-925-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-07-31 |