| NPI | 1124393145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH P. KAMPHAUSEN Managing Member 850-274-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW8935) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |