| NPI | 1730365628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A ROTH President 813-389-9563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 3024) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-09-07 |