| 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 |