| NPI | 1114278686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN REID President 850-362-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2024-06-25 |