| NPI | 1184091183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED W PHILLIPS Owner 813-962-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW1370) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |