| NPI | 1740587260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI D BLACKMAN Co President 561-602-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7330) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |