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 |