| NPI | 1104296920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH MONACO Licensed Clinical Social Worker 813-695-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL LCSW12122) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2016-12-06 |