| NPI | 1972719193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLICERIA ZORAIDA CALVO -SCOTT Owner Therapist 863-424-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1842) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-08-01 |