| NPI | 1639415896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SWINK Clinical Director 772-595-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10902) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |