| NPI | 1205355591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EIYAH ELIZABETH SHEPHERD Owner / Manager 850-483-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11877) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-07-21 |