| NPI | 1710476759 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LINDA ADITION License Clinical Social Worker 833-400-4673  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11915)  | 
| Enumeration Date | 2018-05-04 | 
| Last Update Date | 2022-01-31 |