| NPI | 1225572688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYBIL BERRYMAN Principal 239-250-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8784) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |