| NPI | 1215271564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE R BOOKMAN CEO 850-346-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SW5318) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW5318) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2014-10-01 |