| NPI | 1518752203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SOMUK-ATSIDIS Clinical Director CEO 239-822-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-04-12 |
| Last Update Date | 2025-04-12 |