| NPI | 1023140381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL DIANE GUILLORY President 561-747-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5740) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 4347) |
| 1041C0700X Social Worker, Clinical (Licence: FL 4786) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 4901) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 5367) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 6254) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-07-30 |