| NPI | 1427554625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BOARTS Owner/Therapist 850-816-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL MH14563) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |