| NPI | 1013494384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRIA RAE GLASSER DAS Chief Executive Officer 850-850-3794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |