| NPI | 1154820926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATHOSHA ALEXANDER Licensed Clinical Social Worker 954-445-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW14731) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |