| NPI | 1962600510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BARBARA HERMAN Licensed Clinical Social Worker 386-672-7274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5932) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-10-15 |