| NPI | 1750760526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA S CHAMPA Owner 561-929-3792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL L15000068881) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |