| NPI | 1003360199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALEENA LOTT President 352-325-3603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9511) |
| Enumeration Date | 2016-08-07 |
| Last Update Date | 2016-08-07 |