| NPI | 1730545104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIS MENSCHNER STOKES Owner 407-529-5359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7002) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |