| NPI | 1821452913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOUASHA KEYWONA LANG Executive Director 850-665-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12760) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |