| NPI | 1023492758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE ANN BEZMEN-GOLDSTEIN Lcsw, Owner 352-346-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA CSW003817) |
| Additional Taxonomies | 104100000X Social Worker |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2021-07-14 |