| NPI | 1518365550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA K GOLDBERG Managing Member 352-262-5498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw8795) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2023-11-08 |