| NPI | 1689394033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA M COOLEY Licensed Clinical Social Worker 850-583-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |