| NPI | 1316246218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE LEE ANTONES President 786-237-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 6396) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |