NPI | 1093694473 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC W ROBSON Agent 850-543-4938 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-08-29 |
Last Update Date | 2025-08-29 |