| NPI | 1164893897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A. BAKER President 727-437-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12064) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |