NPI | 1457383861 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN CLARK Front Desk/Billing Specialist 941-366-2224 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2006-07-07 |
Last Update Date | 2025-09-05 |