| 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 |