| NPI | 1518205152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS LAVIGNA Owner/Lcsw 386-788-5021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW9461) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2024-05-13 |