| NPI | 1962178632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEVIN MCKEEVER Executive Director 941-921-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2021-08-21 |