| NPI | 1639472939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE PAVICH Director, President 941-792-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW2098) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2014-08-05 |