| NPI | 1215260609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LEWIS-SLAYTON Psychotherapist 904-822-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw1594) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |