| NPI | 1871034025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA GONZALEZ CAMACHO President 941-613-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8837) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |