| NPI | 1659638336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHALA ENZOR Owner/Practioner 850-522-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7654) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |