| NPI | 1659756393 |
|---|---|
| Doing Business As | WINGS OF CHANGE |
| Entity Type | Organization |
| Authorized Contact | LEA LEONARD Owner 239-287-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |