| NPI | 1730472598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LISA MYERS Licensed Clinical Social Worker 407-617-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6757) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-06-08 |