| NPI | 1730675232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA R PFANNENSTIEL Manager 786-556-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4259) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9496) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2018-07-08 |