| NPI | 1508020140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE L COOPER Owner 904-233-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8901) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-15 |