| NPI | 1164403754 |
|---|---|
| Doing Business As | CIC |
| Entity Type | Organization |
| Authorized Contact | SHARON L MORRIS Executive Director 850-222-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |