| NPI | 1114294824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH RAYMOND SCHROYER President 904-725-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4361) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |