| NPI | 1689864571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE M SIMONS President 941-377-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 4716) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |