NPI | 1578881926 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHA NICOLE TARDIVO Owner 561-452-0304 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7709) |
Enumeration Date | 2010-05-10 |
Last Update Date | 2010-05-10 |