| NPI | 1659745107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLISE CHERILYN DOWNIE Owner 850-362-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 11734) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2016-02-03 |