| NPI | 1265899926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA GREINER CEO/Pres/Director 352-573-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9047) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 4048) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |