| NPI | 1205071099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGALI POSEY Mental Health Counselor 850-501-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH 5924) |
| Additional Taxonomies | 251S00000X (Licence: AL 1704) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |