| NPI | 1780705210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET GORFAIN Licensed Clinical Social Worker 954-746-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL SW3001) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |