| NPI | 1457054975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICHARD SMITH Business Director 850-324-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2025-01-02 |