| NPI | 1013415231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MONTGOMERY President 954-630-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14839) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |