| NPI | 1750817698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE F SVENSON President 941-400-4704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ARNP2757192) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |