Eyes Wide Open LLC
NPI #1336370220 in Bonita Springs, Florida
Provider Information
- NPI Number
- 1336370220
- Entity Type
- Organization
- Organization Name
- Eyes Wide Open LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jul 27, 2009
- Last Updated
- Jul 27, 2009
Practice Location
- Address
- 9200 BONITA BEACH RD SE
- Address 2
- #101
- City
- Bonita Springs
- State
- Florida
- ZIP Code
- 34135-4280
- Phone
- (239) 948-9444
Authorized Official
- Name
- MRS. MARIA SILVIA CASABIANCA, MHC
- Title
- DIRECTOR
- Phone
- (239) 348-0808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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