| NPI | 1396257630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI OSACHY Owner 904-737-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5916) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND4743) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |