| NPI | 1245624089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MACCOLL Owner/President 954-226-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11011) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-04-16 |