| NPI | 1457432205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY GRIFFING Office Administrator 850-434-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-11-08 |