| NPI | 1174378541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMPSEY FISHER Owner 850-972-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |