| NPI | 1588499578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATORIA TERRY CEO 850-328-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2024-09-07 |