| NPI | 1467649483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH E MCDONALD President 850-478-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6059) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6237) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |