| NPI | 1245846732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LUKE FIORAMONTI President 850-901-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2020-09-20 |