| NPI | 1104015924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE KAY WEAVER Owner 352-592-2392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW3215) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-10-01 |