NPI | 1982979662 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA M HENDERSON President 813-716-0585 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW2072) |
Enumeration Date | 2012-03-14 |
Last Update Date | 2012-03-28 |