NPI | 1790310654 |
---|---|
Other Name | SW SOCIAL SUPPORT |
Entity Type | Organization |
Authorized Contact | JESSICA JEFFERSON CEO 954-225-9851 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2020-03-11 |
Last Update Date | 2022-03-21 |