| NPI | 1063859635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA NICCOLE MILLER Executive Director 850-508-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 10565) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |