| NPI | 1538501168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL ANNE WELTON Licensed Clinical Social Worker 321-600-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW7473) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-08-06 |