| NPI | 1043909807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA SHEPPARD-STUMPF Owner 850-591-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-05-05 |