| NPI | 1932562410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BURACK Clinical Social Worker 561-478-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW2319) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |