| NPI | 1992186399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL D. BOZONE President 352-588-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8851) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |