NPI | 1487172078 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ERVIN Social Worker 407-631-4573 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QV0200X Clinic/Center, VA |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13482) |
Enumeration Date | 2017-09-02 |
Last Update Date | 2022-07-21 |