| NPI | 1689974222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE C MCAULIFFE Owner 850-244-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 2519) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |