| NPI | 1265642490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUDINE BLAIR Director 850-297-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 233) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |