NPI | 1588111454 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE MARISA SAVO Owner/Therapist 754-246-5730 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL MH10501) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-09-07 |