| NPI | 1245606730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET DOOLAN Therapist 754-210-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11373) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |