| NPI | 1265973382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARIE BASCOS Owner 352-623-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12783) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |