| NPI | 1710009873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J TANTILLO President Executive Director 954-732-5418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL SW5538) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-09-12 |