| NPI | 1710168893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN WELCH Director 941-487-5400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL 010176105) |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2007-11-17 |