| NPI | 1215103031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA S COOK Licensed Clinical Social Worker 813-875-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw7189) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |