| NPI | 1396148144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LYNN MURRAY Manager 561-702-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW-7279) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP-2854) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |