| NPI | 1871816769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY WENTWORTH President 941-316-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW1569) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2013-10-15 |