| NPI | 1871978361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNELIE M WELCH Principal 904-234-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5763) |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2015-07-25 |