| NPI | 1477856995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA PEMBLETON President/CEO 850-763-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH8956) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH8956) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH8956) | |
| 102L00000X Psychoanalyst (Licence: FL MH8956) | |
| 103K00000X Behavior Analyst (Licence: FL MH8956) | |
| 103T00000X Psychologist (Licence: FL MH8956) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2020-06-09 |