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 |