| NPI | 1629103924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER M NEWSTREET President 954-415-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW0003902) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |