| NPI | 1881992683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEE TUCKER Associate Administrator 954-265-7231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW00002945) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |