| NPI | 1023339579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE MARIE SMITH Lcsw 850-769-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9170) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |