| NPI | 1720308901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO ANN KUSIAK Director 407-963-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7628) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |