| NPI | 1578034419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER YODER Licensed Clinical Social Worker 954-417-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2021-09-09 |