| NPI | 1376508945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOEDON ANDREW SHEPPARD CEO 352-637-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL none) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |