| NPI | 1588233787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL D CROLEY Clinical Director 850-473-4461 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |