NPI | 1336880293 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY DIANE WILDER Lmhc/Owner 850-273-0199 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2022-04-05 |
Last Update Date | 2024-11-10 |