| NPI | 1558867341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANDREWS CFO 941-259-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-01-07 |