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 |