| NPI | 1194018424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASCELLS MARTIN PHILLIPS CEO 407-703-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8417) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2013-01-03 |