| NPI | 1811432610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CASE President 941-900-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9276826) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-03-23 |