| NPI | 1912226838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE GRIFFIN FAULK President 813-246-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8307) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |