OrganizationActive
Community Assisted and Supported Living, Inc.
NPI 1740031533 · Mental Illness Community Based Residential Treatment Facility · Fort Myers, FL
Provider details
- NPI number
- 1740031533
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Julian Eller, Ceo(941) 225-2373
Specialties & taxonomies
Residential Treatment Facilities
Practice location
461 Van Buren St
Fort Myers, FL 33916-3740
Phone: (239) 922-1969
Fax: (941) 366-0033
Approximate (ZIP-level) locationGet directions
Mailing address
2911 Fruitville Rd
Sarasota, FL 34237-5320
Registry dates
- Enumerated
- 2024-03-29
- Last updated
- 2024-03-29
- Certified
- 2024-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.