| NPI | 1730814195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY LACROIX Revenue Cycle Supervisor 561-510-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |