| NPI | 1760973200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA MARIE GLADDEN Owner 561-729-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11318) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |