| NPI | 1770327942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LYNN GWALTNEY President/Clinical Social Worker 954-600-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-06-22 |