| NPI | 1538408547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TORRELLE PORTER Mental Health Therapist 850-274-4781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |