| NPI | 1659644656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GORDON SEAVEY Director 239-595-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH3547) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |