| NPI | 1336788439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLY LUPO CEO 561-246-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-08-11 |