| NPI | 1972700169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLY HO - PEHLING Chief Operating Officer 813-866-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7429) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME31300) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2008-07-15 |