| NPI | 1710398417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY PHILLIP AUERBACH Psychotherapist 772-335-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW3615) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |