| NPI | 1447678990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE E DONOHUE Owner 855-241-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8327) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2019-09-20 |