| NPI | 1306612635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA M MILLER Owner/Therapist 850-832-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |