| NPI | 1982836391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L BUSS Managing Member 239-745-5917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8039) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: FL ME100060) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-11-17 |