| NPI | 1386486710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELA POLK Owner 954-933-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |