| NPI | 1750770723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVINA ROBERTS Owner/Administrator 904-403-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9817) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |