| NPI | 1134335458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MARILYN VAN WINGERDEN Chief Executive Officer 727-532-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW0003338) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |