| NPI | 1407243348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RAMPONE Owner 904-729-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11429) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |