| NPI | 1548689839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY SCHAEFFER Director 941-704-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMH 10049) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2015-03-17 |