| NPI | 1306333935 |
|---|---|
| Doing Business As | BETH LILJESTRAND |
| Entity Type | Organization |
| Authorized Contact | BETH ANN LILJESTRAND Therapist/Private Practitioner 850-661-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 7203) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-06-16 |