| NPI | 1679008742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY JEANNE SATCHELL Ambr 772-215-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11474) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-04-23 |