| NPI | 1700162021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD SPRAGUE Cmh Supervisor 239-332-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |