| NPI | 1871883280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE JAMES SWANAGAN Owner/Therapist 850-529-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9413) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-05-03 |