| NPI | 1588800098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN CROCE BENEDICT Clinical Social Worker 941-830-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7665) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2023-09-05 |