| NPI | 1851010367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DAVIS Licensed Clinical Social Worker 561-312-5846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |