| NPI | 1073922605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL D BOZONE President 352-588-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw8851) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |