| NPI | 1972834026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M GROSSMAN Owner 941-779-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 9349) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1030424) |
| 171100000X Acupuncturist (Licence: FL AP2683) | |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2014-07-25 |