| NPI | 1992150916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNA HASWELL Owner 850-329-5776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11077) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-01-29 |