| NPI | 1538440607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA D WHEATLEY Partner 850-567-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4594) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 9213) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |