NPI | 1801084306 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS WILLIAM CLYBURN Sole Proprietor 941-224-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH0007314) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2007-10-09 |