| NPI | 1376967877 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | VALARIE D FIELDS ERVIN CEO 954-547-3479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2022-03-01 |