| NPI | 1548639099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRIE DEE MARIE PRICE Therapist 941-371-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw4524) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |