NPI | 1306194907 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCHELL GREENBERG Director, Clinical Affairs 941-238-0266 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10959) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |