| NPI | 1861647950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GARY WERBOFF President 941-391-4872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL 82682) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2009-01-09 |