| NPI | 1881005254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIET MAY MARINO Clinical Social Worker 352-362-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW3509) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |