| NPI | 1144944653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHEA SANDLES Licensed Clinical Social Worker/Own 850-459-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |