| NPI | 1336518166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK OMAR STEPHENS President And CEO 407-770-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 11477) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-11-16 |