| NPI | 1730684077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ROUSE Owner/Lcsw 850-960-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10901) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-06-16 |