| NPI | 1114317013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL JOHNSON MCGREGOR Managing Member 954-210-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist Family Health (Licence: FL ARNP3090472) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2017-03-27 |