| NPI | 1124201983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE LEVY President/Psychologist 386-253-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW0002513) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2022-03-08 |