| NPI | 1598154668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM CARPENTER HERRING Owner 386-397-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 5491) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2024-03-11 |