| NPI | 1538600598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C HARTMAN Clinical Director 863-451-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8636) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-23 |