| NPI | 1972712164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J. STRICKLAND Manager Member 850-385-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8561) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-10-27 |