| NPI | 1821043720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH LARSON WARRINER Director/Owner 941-349-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW1388) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |