| NPI | 1174384275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA KIMELI-POPE Psychiatric Nurse Practitioner 850-242-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-02-05 |