| NPI | 1144842527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CARTWRIGHT DAVID Owner 850-740-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2023-06-27 |