| NPI | 1538536248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA MITCHELL-COSGROVE Licensed Clinical Social Worker 941-468-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9146) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |