| NPI | 1720447279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA BRION Chief Operating Officer 941-915-6395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL ARNP9245432) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: FL ME60327) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW10574) | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-03-24 |