Organization
EYES WIDE OPEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA SILVIA CASABIANCA MHC (DIRECTOR)
(239) 348-0808
Entity
Organization
Contact information
Practice address
9200 BONITA BEACH RD SE, #101, BONITA SPRINGS, FL 34135-4280
(239) 948-9444
Mailing address
1260 WILDWOOD LAKES BLVD APT 201, NAPLES, FL 34104-5802
(239) 348-0808
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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