| NPI | 1942237177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P CALLAN Director 813-980-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW1785) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |