NPI | 1548880974 |
---|---|
Entity Type | Organization |
Authorized Contact | MADELINE C GUARINO Owner 850-301-1331 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-04-27 |
Last Update Date | 2020-04-27 |