| NPI | 1073864658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE BERTEAU Clinical Social Worker/Therapist 850-684-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW3484) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |