NPI | 1972821627 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY MARION RAUCKHORST CEO 727-474-3740 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 5457) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 1816) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2010-05-05 |