NPI | 1356392880 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE ROBINSON Credentialing Contact 239-791-6363 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2006-05-12 |
Last Update Date | 2021-05-21 |