| NPI | 1770727042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI LAUREN CASSAND President 954-650-1706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6833) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2428W) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |