| NPI | 1659612190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE L. FISHER Manager/Member 407-247-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8840) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |