| NPI | 1912362005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE P SNOW CEO/Owner 407-782-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12409) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2018-04-28 |