| NPI | 1295009413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE MILLELOT GRAVES Owner/Psychotherapist 850-433-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH1369) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |