| NPI | 1487800934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MCKINLEY HARRINGTON Licensed Clinical Social Worker 321-264-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW-5102) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2010-08-04 |