| NPI | 1609165380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEAN FURDOCK President 321-377-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW7776) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH7013) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |