| NPI | 1629378898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE COLONNELLO President 239-275-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW1700) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |