| NPI | 1386827293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE E BABER Director Of Administration 850-267-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 803) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2009-07-28 |