| NPI | 1376969253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE HEALAN President 239-910-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw6172) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |