| NPI | 1508232539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S YON-DAVIS Direct Owner 850-974-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11761) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2021-10-13 |