| NPI | 1558748913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBALIE COMMISSIONG Owner 954-687-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW7375) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |