| NPI | 1225435084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE HUGH BABCOCK Therapist 239-218-3286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9768) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |