| NPI | 1124528708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL GENE LINDSAY Clinical Psychologist 850-478-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY10024) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |