| NPI | 1174936066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON PELL Licensed Clinical Social Worker 321-729-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW1546) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |