| NPI | 1235519422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BARTAK Lcsw 407-625-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X (Licence: PA CW017608) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2024-11-14 |