| NPI | 1932726627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICALE L CARAVELLA Licensed Clinical Social Worker 352-389-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-30 |