| NPI | 1295241289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MEADERS GERBER Director 386-589-1736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11412) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |