| NPI | 1487098620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SHELTON President 850-522-9719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11162) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |