| NPI | 1275053613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DA'SHANEKA WRIGHT Co Executive Director 850-222-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-08-18 |