| NPI | 1669897443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY SUPON CONNOR Lcsw/Owner 850-381-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8892) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-05-23 |