| NPI | 1366501512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA N HERZOG Owner 407-324-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL LCSW002024) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |