| NPI | 1740095546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA GWENDOLYN BALL Licensed Clinical Social Worker/Own 850-814-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2026-07-24 |