| NPI | 1861089690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WITTECK CEO 941-258-5516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2025-04-14 |