| NPI | 1861633992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES LEXANDRA Manager 954-647-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5325) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2011-01-03 |