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 |