| NPI | 1891775581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE BETH EILENBERG Social Worker 772-595-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL SW7718) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |