| NPI | 1497990212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY W DEAL Owner 850-481-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ME84774) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |