| NPI | 1972679371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN C MYERS-ROUTT Owner 941-955-0341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW 4008) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |