| NPI | 1326219668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA W DORROUGH-EWING Owner 863-471-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7017) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |