| NPI | 1245648419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ELIZABETH DONOHUE Owner 855-241-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8327) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2021-05-18 |