| NPI | 1285786160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NORMAN MCMANUS Licensed Clinical Social Worker 850-830-8340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW1774) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |