| NPI | 1780118547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENETTA OSBORNE Office Manager 850-322-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13824) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |