| NPI | 1932461365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE HETU MCDONALD President 941-954-8978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY4236) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-15 |