| 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 |