| NPI | 1689965170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROBERTS Director 850-459-2157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW 6541) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |