| NPI | 1740679406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH EDITH REYES Licensed Clinical Social Worker 352-293-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW 11947) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |