| NPI | 1487055919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHOADIE LADD CEO 941-979-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8565) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2016-06-29 |