| NPI | 1821396474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY B RAYFIELD President/COO 941-330-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 104998) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |