| NPI | 1659666543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BERWICK Owner/Operator 904-599-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW1692) |
| Enumeration Date | 2011-06-19 |
| Last Update Date | 2011-06-19 |