NPI | 1164942686 |
---|---|
Doing Business As | REGINALD BRUNO, EDD, LCSW, MCAP |
Entity Type | Organization |
Authorized Contact | REGINALD MYRON BRUNO CEO / Manager/Member 239-770-7267 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: FL SW9243) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2017-06-26 |