| NPI | 1134412828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY C. CORIANO President 239-272-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 9823) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |