| NPI | 1932637253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN LILLY WOOD Owner 850-516-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10234) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2019-06-08 |