| NPI | 1659693026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNNE MOSHER President And CEO 321-278-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7725) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |