| NPI | 1457981888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MONTFORD KING Director 850-447-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2024-07-11 |