NPI | 1285887919 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIANNE KENNEY TOOLE Psychotherapist 239-595-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW8143) |
Enumeration Date | 2008-10-26 |
Last Update Date | 2009-08-31 |