| NPI | 1356708259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MICHELLE WARNER President 813-922-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10745) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |