| NPI | 1639791924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SHEPARD Revenue Cycle Director 941-363-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |