| NPI | 1942666938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA E RUSSELL Licensed Clinical Social Worker 561-900-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |