| NPI | 1366853335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY A BRIGHTON Owner 386-236-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 2829) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |