| NPI | 1972957918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STEINGART Licensed Clinical Social Worker 850-296-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW 12532) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |