| NPI | 1821401431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L MAGRUDER Owner 239-939-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW3006) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |