| NPI | 1184015067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TEMPLE BAILEY Owner 850-383-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS5349) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |