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 |