| NPI | 1992098446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL LIDDLE Owner/Operator 904-669-5908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW70408) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |