| NPI | 1013417187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE SABITSCH Practice Manager 850-877-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |