| NPI | 1023305950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FORBERG President / Operator 239-285-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6438) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |