| NPI | 1386829695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WOLFSON Clinical Social Worker 941-962-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW5613) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |