| NPI | 1477855690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PORTER President 941-955-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY4711) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |