| NPI | 1760349013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW INGRASSIA Business Manager 850-459-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |