| NPI | 1699286237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEAN BYRNE Owner/Counselor 239-603-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL IMH13984) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2020-06-03 |