| NPI | 1730883109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDADRELL GAYLE Director Manager 239-703-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |