| NPI | 1336215722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WHITE President 941-365-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |