| NPI | 1861822249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VOORTING Counselor 850-443-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10970) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |