| NPI | 1013468313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E NOVAK Owner/Psychotherapist 386-566-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13968) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2021-03-31 |